上消化道疾病9910例胃镜检查结果分析

Analysis of Gastroscope Examination on 9 910 Patients with Diseases of Upper Digestive Tract

目的:分析胃镜检查患者各种上消化道疾病的发病率、年龄分布、性别比例、幽门螺杆菌(Hp)感染及其关系。方法:对9910例患者用OLYMPUS纤维胃镜、电子胃镜进行上消化道疾病检查,同时进行Hp及病理切片检查。结果:疾病检出炎症>溃疡>癌症;男性发病多于女性;Hp与炎症、溃疡有相关性,与胃癌相关性明显低于炎症及溃疡,残胃炎与Hp感染无正相关性。结论:上消化道疾病男性发病多于女性,上消化道疾病检出炎症>溃疡>癌症,Hp感染与炎症、溃疡关系密切。

Objective: To analyze the incidence, age distribution, sex proportion, Helicobacter pylori (H. pylori) infective rate of the patients with upper digestive tract diseases after gastroscope examination. Methods: OLYMPUS fiber gastroscope or electron gastroscope was used to examine upper digestive tract. Gastric mucosa was taken for H. pylori test and pathological examination. Results: Patients with gastritis were more than those with ulcer, and patients with ulcer more than those with cancer. Incidence in male was more than that in female. There was relativity between H. pylori infection and gastritis or ulcer. The relativity between H. pylori infection and gastric cancer was lower than that between H. pylori infection and gastritis or ulcer. There was no positive relativity between residual gastritis and H. pylori infection. Conclusion: For diseases of upper digestive tract, the incidence in male is more than that in female. Patients with gastritis were more than those with ulcer, and patients with ulcer more than those with cancer. There was close relativity between H. pylori infection and gastritis or ulcer.